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M AY 2 0 1 5 | O U T P AT I E N T S U R G E R Y M A G A Z I N E O N L I N E
Engaged and aware
Fire risk assessments are needed most, but often overlooked, when
the surgical procedure is above the xiphoid or in the oropharynx.
These cases demand open communication between the surgeon and
anesthesia provider; the surgeon must indicate when he's going to
activate an energy device so the provider can stop the flow of oxygen.
Nurses who are aware of fire risks are more alert and focused on
each step of the case to ensure that open communication exists.
In the midst of a procedure, surgeons understandably zero in on the
task at hand and may not be fully aware of actions that increase fire
risk as the procedure progresses. It's up to the other members of the
surgical team to ensure the components of the fire triangle remain
separate and inert. Challenge beliefs that a fire can't happen in your
ORs, educate every staff member about fire safety, and adapt and
respond to constant change in the OR that creates different fire risk
scenarios. Patient safety is your top priority. OSM
Mr. Thurmond (troy.thurmond@jaxhealth.com) is the director
of surgical services at St. Vincent's Medical Center Southside in Jacksonville, Fla.
